National Provider Identifier Database

CENTRAL NEBRASKA RADIATION ONCOLOGY PC
Radiation Oncology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.


Contact Information

CENTRAL NEBRASKA RADIATION ONCOLOGY, PC
2116 W FAIDLEY AVE
DEPARTMENT OF RADIATION THERAPY
GRAND ISLAND, NE68803-4645
Phone: 308-398-5450
Fax: 308-398-5351
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0001X

* Indicates primary specialty

NPI Profile & details for CENTRAL NEBRASKA RADIATION ONCOLOGY, PC

NPI Number 1700909488
Legal business name
LBN
CENTRAL NEBRASKA RADIATION ONCOLOGY, PC
Authorized official MARK BOLTON - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/09/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NE License #: 18773

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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